Damian Salvatore Vallelonga, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

009258 Issued in NY

Practice address

315 S Crouse Ave
Suite 300
Syracuse, NY 13210-1845

Phone

(315) 426-2805

Fax

(315) 446-0053

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 1, 2018 through Nov 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417055666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SHERBOURNE RD.",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241929",
            "telephone_number": "315-446-3114",
            "fax_number": "315-446-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S CROUSE AVE",
            "address_2": "SUITE 300",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101845",
            "telephone_number": "315-426-2805",
            "fax_number": "315-446-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLELONGA",
        "first_name": "DAMIAN",
        "middle_name": "SALVATORE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "009258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Valentino, NP
• Samuel A Valentino, LPN
• Michael William Valerio, PH.D.
• Jane Valetchikov, PSY.D
• Timothy R Vallee Jr., LPN
• Jennifer M Vallone, R.D., C.D.N.
• Kelly M Van Auken Mason, OTRL
• Ruth Louise Van Der Heide
• Sally Jo Van Ostrand
• Melanie Stephanie Van Schaick, OTL

• Psychologist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.